The "Big Bang" EMR Implementation

Bringing together all of the areas of the hospital together allowed the hospital to create a system of transparency and accountability. In turn, this has ensured that everyone is doing what they are supposed, when they are supposed to.

When Albert Villarin, M.D., FACEP arrived at North Shore-LIJ Staten Island University Hospital, everything was in silos.

As the current CMIO of the 721-bed, multi-site facility, puts it, "Leadership was siloed, the workflow was independent of each other. There was very little patient-centered methodology around the way decisions were made at the bedside level on up. When I got there, the words 'old culture' were repeated at the meetings I created. They were saying, 'We have an old culture. We don't do it that way.' Well, you have to change to evolve."

Changing that line of thinking, Dr. Villarin says, was essential to being able to successfully implement a nearly complete electronic medical record (EMR) system across the entire inpatient side, which Staten Island University Hospital was able to do. This means computerized physician order entry (CPOE), nursing documentation, bedside medication administration and barcoding, and medication reconciliation capabilities were all fully installed, 100 percent.

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Source: Healthcare Infromatics